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Contact Information

FORK UNION PHARMACY INC
4316 B JAMES MADISON HWY
FORK UNION, VA23055
 Phone: 434-842-3208
 Fax: 434-842-1447
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FORK UNION PHARMACY INC

NPI Number 1417970880
LBN Legal business name FORK UNION PHARMACY INC
Authorized official IVAN YONCE - (OWNER AND PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2006
Last updated 10/04/2016 - About 10 years ago
Identifiers
VA License # 0201000280
VA Medicaid 1417970880
VA Medicaid 8505357
Other 2102630 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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